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Amon Laboratories Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies. Inc Date&Time Received: 12/1212003 14:35 <br /> Project Name. Eckert Cold Slora2e Client Project Number: 3471 <br /> Received Ey 1.C. Matrix Water 0 Soil ❑ <br /> Sample Carrier: Client ❑ Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: D12331 <br /> Shipper Cor tamer in good condition? Samplos received in proper containers? Yes ❑ No ❑ <br /> WA Yes [] No ❑ Samples received vacl? Yes ❑ No ❑ <br /> Samples r&,eived under refrigeration? Yes No ❑ Sufficient sample volume for requested tests?Yes No ❑ <br /> Cnain of custoey present? Yes No ❑ Samples received within holding time? Yes ❑ No ❑ <br /> Chain of C_,stody signed by all parties? Yes No ❑ Do sarnples contain proper preservative? <br /> NIA ❑ Yes No ❑ <br /> ;hale of C 31»dy matches all sample labels? Do VOA vials contain zero headspace? <br /> Yes ❑ No ❑ (None submitted ❑ ) Yes Q No ❑ <br /> i <br /> ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Clier;t Contacted: � Person Conacted: <br /> Contactec By- Subject: <br /> Comments: <br /> Action Tanen. <br /> ADDITIONAL TEST(S)REQUEST!OTHER <br /> Contacted 8y: Dale: <br /> Time: <br /> Call Received By: <br /> Commen.s: <br />